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South Dakota rates for HCPCS J0594

Injection, busulfan, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $2.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.46 / $1.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $3.11 / $5.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.04 / $8,746.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.12 / $20.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.70 / $43.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.93 / $1.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84